| NPI | 1194818567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35086594) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL 84888) |
| 208600000X Surgery (Licence: OH 35086594) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.086594) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-02-22 |