| NPI | 1639145634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301100380) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35067178) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101239206) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 17033) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-04-09 |