| NPI | 1588652192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301108585) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME72755) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV WV20189) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2021-04-21 |