| NPI | 1982696340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35054450H) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 25039) |
| 208600000X Surgery (Licence: KY 25039) | |
| 208600000X Surgery (Licence: OH 35054450H) | |
| 208600000X Surgery (Licence: CA C34038) | |
| 208600000X Surgery (Licence: IA 18359) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 25039) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C34038) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 18359) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2014-03-25 |