| NPI | 1821103888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME133085) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 219307) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY TP979) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-06-23 |