| NPI | 1235367475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME153336) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 1250566896) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A154226) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-03-07 |