| NPI | 1679577639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 51448) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 57068) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME128360) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 66527) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0056660) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D40128) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-02-28 |