| NPI | 1902865678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J2453) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 261617) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E11786) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR 35.122089) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 122089) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.122089) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60593168) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2026-03-26 |