| NPI | 1770519084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME155275) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 330718) |
| 208600000X Surgery (Licence: MN 46230) | |
| 208600000X Surgery (Licence: TX P3022) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P3022) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 330718) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 46230) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-09-28 |