| NPI | 1578551446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-46023) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-46023) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N8245) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2006002920) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2019-06-04 |