| NPI | 1972768067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-120272) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD434495) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 047704) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2012-11-07 |