| NPI | 1720019102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 57666) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A54002) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 057666) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A54002) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-06-17 |