NPI | 1487690186 |
---|---|
Former Name | M DENTON STAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME169043) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2025-07-15 |