| NPI | 1659783348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 5101027406) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 66795) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 77273) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-04-23 |