| NPI | 1275507931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD044570L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD044570L) |
| 2086S0120X Surgery Pediatric Surgery (Licence: FL ME118772) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME118772) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-05-21 |