| NPI | 1164481966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME114363) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD0000045514) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J8459) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-05-10 |