| NPI | 1851370852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME176394) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 30603) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0061284) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-11-10 |