| NPI | 1346255650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 17672) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35061675K) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 46980) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-05-18 |