| NPI | 1639106263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA 05012028) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MB06828400) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U1879) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-01-20 |