| NPI | 1528013778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 75615) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC MD83110) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S0093) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.146554) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 66636) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 45300) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01080320A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 30809) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 0060435) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-09-06 |