| NPI | 1801127691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.208126) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD438139) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 068075) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A107948) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2015-09-15 |