| NPI | 1588761001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND PT15292) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX K6740) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60216935) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX K6740) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-08-08 |