| NPI | 1083683353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME-71437) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME0071437) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME0071437) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME-71437) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-09-11 |