| NPI | 1477556371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME130216) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN MD26291) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD026291) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2023-02-02 |