| NPI | 1720217870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P7492) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50932) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.137228) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01085219A) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2026-06-09 |