| NPI | 1992739064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME127092) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 25314) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 25314) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 249581) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2013-00717) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-12-14 |