| NPI | 1548240765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME142391) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 22983) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0066694) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 29646) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101050137) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-11-20 |