| NPI | 1699717074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 44463) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 33948) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A80731) | |
| 208600000X Surgery (Licence: CA A80731) | |
| 208600000X Surgery (Licence: KY 44463) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-01-31 |