| NPI | 1871573097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME141685) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MS 30631) |
| 204F00000X Transplant Surgery (Licence: TN 66242) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX K7670) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 66242) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 30631) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-09-09 |