| NPI | 1740381763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME107905) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 200001004) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX K6368) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G077759) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-03-20 |