| NPI | 1932589850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-16765) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 60766) |
| 208600000X Surgery (Licence: WI 69457) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 60766) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-09-27 |