| NPI | 1972694388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD424648) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2018027911) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 23604) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35. 093527) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-02-10 |