| NPI | 1558416115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID MC-1821) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 62764) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 54702) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 105635) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-01-20 |