| NPI | 1710061817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME140763) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME140763) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD34573) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-01-04 |