| NPI | 1477546679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 30311) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 35095) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 102837) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 41824) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 53246) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-11-07 |