| NPI | 1740360148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY FL075) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME138662) |
| 204F00000X Transplant Surgery (Licence: FL ME138662) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-02-16 |