| NPI | 1902883747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL 154824) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SD 7574) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 23463) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S8498) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-05-17 |