| NPI | 1225293418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 51353) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35126643) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 34641) | |
| 208600000X Surgery (Licence: MO 2010003180) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2010003180) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-11-04 |