| NPI | 1992092662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL OS16420) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL 1482) |
| 208600000X Surgery (Licence: NJ 25MB09776800) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MB09776800) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-12-04 |