| NPI | 1598975898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P6157) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME176015) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-09-19 |