| NPI | 1730100660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R7414) |
| Additional Taxonomies | 2086S0129X (Licence: CA A97091) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD25493) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60036943) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A97091) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2022-01-26 |