| NPI | 1043460488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME79521) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME79521) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME79521) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME79521) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-10-26 |