| NPI | 1801889845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101279508) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 31207) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 30206) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 47938) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-09-21 |