| NPI | 1932174349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME93579) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301097550) |
| 2086S0129X Surgery Vascular Surgery (Licence: VA 0101238070) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-11-09 |