| NPI | 1518030535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME95264) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101248063) |
| 101YS0200X Counselor School | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P4594) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E12623) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301500326) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-07-21 |