| NPI | 1831110402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME134217) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME134217) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 13334) | |
| 208M00000X Hospitalist (Licence: FL ME134217) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-09-30 |