| NPI | 1720086606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 95819) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 335508) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 335508) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME138978) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 45381) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-09-20 |