| NPI | 1740486364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A119442) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61122293) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61122293) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-11-11 |