| NPI | 1285785709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 46919) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 10711) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD17253) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2015-06-08 |