| NPI | 1245486364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME151775) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME151775) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD448713) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2024-05-29 |