| NPI | 1083877682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME102306) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R8008) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM MD2013-0056) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301097735) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.086907) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-07-17 |