| NPI | 1821015652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-126473) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME130413) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD418882) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 54194) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 77362) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-10-10 |