| NPI | 1134262843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 318979) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 53175) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 53175) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME129941) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-01-13 |