NPI | 1205609930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME172471) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL TRN38925) |
204F00000X Transplant Surgery (Licence: FL TRN38925) | |
Enumeration Date | 2023-11-03 |
Last Update Date | 2025-04-08 |