| NPI | 1245262039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME44772) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: FL ME0044772) |
| 2086S0129X Surgery Vascular Surgery (Licence: NC 11608) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-09-20 |