| NPI | 1861467037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.059614) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 3571) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01091850A) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-02-02 |