| NPI | 1780125906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ TL166) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA LT000771) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT213590) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA LT000771) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-07-21 |