NPI | 1932560745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME140323) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME140323) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-02-18 |