| NPI | 1831156496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME139009) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 16741) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-07-18 |