| NPI | 1982796710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C10005357) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DE C10005357) |
| 204F00000X Transplant Surgery (Licence: NJ MA07551400) | |
| 204F00000X Transplant Surgery (Licence: PA MD044093L) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA07551400) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD044093L) | |
| 204F00000X Transplant Surgery (Licence: FL ME79000) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME79000) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-12-15 |