| NPI | 1578659611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME125597) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-113451) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 58638) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-11-06 |