| NPI | 1316972631 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301046199) | 
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 29909) | 
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 622) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036153856) | |
| Enumeration Date | 2006-07-12 | 
| Last Update Date | 2025-02-10 |