| NPI | 1821148644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD185832) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 241831) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 241831) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D59504) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-03-09 |