| NPI | 1730339599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME117209) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD454660) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 26325) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-01-26 |