| NPI | 1619189933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U9422) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101274262) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 17695) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036139510) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-06-17 |