| NPI | 1902059447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101242365) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N0722) |
| 208600000X Surgery (Licence: VA 0101242365) | |
| 208600000X Surgery (Licence: MA 292123) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N0722) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 292123) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-08-09 |