| NPI | 1144541723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 55206) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 55206) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME144523) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-08-11 |