| NPI | 1689819484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM MD2016-0172) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 066083) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL 120687) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2023-11-30 |