| NPI | 1932100906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 123918) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD044187E) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD044187E) | |
| 208600000X Surgery (Licence: FL ME 123918) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-04-24 |