| NPI | 1346311677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101037626) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME98555) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 29821) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-08-08 |