| NPI | 1154404598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME149639) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 48721) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND PT10369) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2024-03-20 |