| NPI | 1891765848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 56986) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD22537) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R0057) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2018-06-11 |