| NPI | 1942243308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G56704) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA G56704) |
| 2086S0129X Surgery, Vascular Surgery (Licence: GU M-1488) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GU M-1488) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-09-27 |