| NPI | 1992756852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 013713) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00029637) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00029637) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-04-18 |