| NPI | 1609818871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 10792) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO R3B38) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 11268) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-10 |