| NPI | 1437368404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2023009750) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R6985) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 48756) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 37879) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-01-10 |