| NPI | 1891022414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 45431) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 66894) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 42768) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60223695) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 45019) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-03-12 |