| NPI | 1962666396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101264164) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 52133) |
| 208600000X Surgery (Licence: VA 0101264164) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 52133) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2024-04-15 |