| NPI | 1811086515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 61321) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME150500) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 24762) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 053322) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD424488) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101279530) | |
| 208600000X Surgery (Licence: KY 61321) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0101861) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-12-02 |