| NPI | 1508858507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 48732) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P1849) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 10477A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 224517) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-02-19 |