| NPI | 1780688291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R3497) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 231289) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 231289) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA a110460) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C10009649) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-12-04 |