| NPI | 1083723803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 23873) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 002978-1) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 215435) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A73867) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME115298) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-01-15 |