| NPI | 1760646293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 59028) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 237832) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT211366) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME132548) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-03-31 |