| NPI | 1932310604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2019-02230) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IA 39724) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C 52620) | |
| 208600000X Surgery (Licence: CA C 52620) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 39724) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD 025138) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-01-31 |