| NPI | 1801922307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-134059) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35-134059) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 15567) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-03-03 |