| NPI | 1720086242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-49632) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 43991) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01058168A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301114501) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-10-09 |