| NPI | 1659630572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A193719) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301506434) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 11640924-1205) | |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2024-02-07 |