| NPI | 1831420272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 2831) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV 2831) |
| 209800000X Legal Medicine (Licence: NV 2831) | |
| 208D00000X General Practice (Licence: CA G13846) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G13846) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2016-01-18 |