| NPI | 1205870805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-44716) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 43505) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 097218) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 44517) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM MD2015-0676) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U0481) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-05-25 |