| NPI | 1275525560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35046888W) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 21791) |
| 208600000X Surgery (Licence: KY 21791) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: KY 21791) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: OH 35046888W) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35046888W) | |
| 174400000X Specialist (Licence: KY 21791) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2017-01-30 |