| NPI | 1669439527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA md00046401) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.200301) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 67273) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-11-12 |