| NPI | 1982864435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R0929) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R0929) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 81046) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-10-25 |