| NPI | 1962593236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD424595) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 43650) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA07862900) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C10007305) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-12-04 |