| NPI | 1598799850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 26039) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35081563C) |
| 208600000X Surgery (Licence: KY 37727) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35081563C) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 37727) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-08-08 |