| NPI | 1942395215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME147149) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NE 20490) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 20490) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SD 12243) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-12-19 |