| NPI | 1346434743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 325191) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188461) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N0992) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME110494) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2021-03-08 |