| NPI | 1669656740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 254389) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 70098) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: RI MD15204) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2022-10-25 |