| NPI | 1588821078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 277356) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 15842) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0068916) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: RI MD15509) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-05-04 |