| NPI | 1043484678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U2994) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME136295) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47858) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-09-26 |