| NPI | 1699758268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 39329) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA68195) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A82758) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 45267) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2013-08-02 |