| NPI | 1326090549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD450992) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-097866) |
| 208600000X Surgery (Licence: PA MD450992) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-097866) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-04-11 |