| NPI | 1588622914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME138573) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD022595E) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD022595E) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-04-19 |