| NPI | 1366413353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 0447334) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9700577) |
| 208600000X Surgery (Licence: NC 9700577) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 18434) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-03-01 |