| NPI | 1700163466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD424083) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P6230) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA 60433876) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 67856) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2020-09-30 |