| NPI | 1205609930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME172471) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL TRN38925) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL TRN38925) | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2025-11-05 |