| NPI | 1346376613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX W6448) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 26699) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301512898) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 41864) | |
| 208600000X Surgery (Licence: TN 41864) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 26699) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35150314) | |
| 208600000X Surgery (Licence: TX W6448) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2026-06-10 |