| NPI | 1891832176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 063769) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD-438909) |
| 208600000X Surgery (Licence: CO DR-47740) | |
| 208600000X Surgery (Licence: ME 018344) | |
| 208600000X Surgery (Licence: GA 063769) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-05-15 |