| NPI | 1962476648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME42224) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.129973) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50078) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-08-04 |