| NPI | 1346539129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME164958) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME164958) |
| 335U00000X Organ Procurement Organization (Licence: FL me164958) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-09-21 |