| NPI | 1326128968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD469773) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 34902) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME MD19686) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-07-02 |