| NPI | 1336222405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50542) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 24757) |
| 208600000X Surgery (Licence: VA 0101235335) | |
| 208600000X Surgery (Licence: KY 50542) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 24757) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0066881) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101235335) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-10-25 |