| NPI | 1447474861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME91624) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101266231) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 65581) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 29509) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2026-03-15 |