| NPI | 1285645200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 20944) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101263233) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME 014997) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD050220L) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-12-01 |