| NPI | 1548394455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME44335) |
| Additional Taxonomies | 2086S0129X (Licence: FL ME44335) |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME44335) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-12-31 |