| NPI | 1861501124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX J1469) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 22415) |
| 208600000X Surgery (Licence: WV 22415) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J1469) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-12-30 |