| NPI | 1588994271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R9841) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 54858) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 54858) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60722201) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2019-01-30 |