| NPI | 1801978986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.130826) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J2192) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 0426298) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD453177) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-07 |