| NPI | 1336346808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.088910) |
| Additional Taxonomies | 2086S0129X (Licence: OH 35088910) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 46616) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-04-13 |