| NPI | 1063486371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME 19850) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM MD2011-0212) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR 26248) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101246909) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-11-08 |