| NPI | 1982849451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2018-00913) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 77138) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO CDRH.0003096) | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2024-07-30 |