| NPI | 1255832267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35143684) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 29133) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX pb10062013) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2023-09-09 |