| NPI | 1912961749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 0059627) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35074025) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 22431) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-08-01 |