| NPI | 1275625840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME156588) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101245965) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P8165) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35078178M) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-10-18 |