| NPI | 1548315666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35096407) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35096407) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME125169) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-01-04 |