| NPI | 1588866354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID M-15527) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 57549) |
| 208600000X Surgery (Licence: MA 203484) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL 134669) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 37778) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 203484) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-02-17 |