| NPI | 1609845460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 12525) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 67255) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L4852) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-10-19 |