| NPI | 1013174101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME120318) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 251016) |
| 208600000X Surgery (Licence: NC 133367) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2014-06-12 |