| NPI | 1730139825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 63989) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA C55907) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35086860) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C55907) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35086860) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-07-09 |