| NPI | 1033116710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME133610) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 60813) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD454858) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 21702) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J9027) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 040429715) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-11-25 |