| NPI | 1619980703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 48896) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 27240) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 40712) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35. 054111) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-02-03 |