| NPI | 1689873010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301074889) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301074889) |
| 208600000X Surgery (Licence: TX M7238) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60030929) | |
| 208600000X Surgery (Licence: IL 036.124511) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-10-27 |