| NPI | 1669932836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 68178) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ TP01685) |
| 208600000X Surgery (Licence: MN 29988) | |
| 208600000X Surgery (Licence: MN 68178) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-06-16 |