| NPI | 1073544235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 010124336) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.092950) |
| 208600000X Surgery (Licence: PA MD055447L) | |
| 208600000X Surgery (Licence: CA G85983) | |
| 208600000X Surgery (Licence: VA 010124336) | |
| 208600000X Surgery (Licence: NY 250779) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD055447L) | |
| 208600000X Surgery (Licence: NE 25100) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G85983) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 250779) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.092950) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 25100) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-08-10 |