| NPI | 1629271200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME153089) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A85960) |
| 208600000X Surgery (Licence: OK 30875) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 30875) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A85960) | |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2022-04-13 |