| NPI | 1760563613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 59222) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD00047735) |
| 2086S0127X Surgery, Trauma Surgery (Licence: WA MD00047735) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35 126676) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00047735) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 56485) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-04-27 |