| NPI | 1669405841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME132749) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD426935) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD426935) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-07-21 |