| NPI | 1013196989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 36886) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD036641) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-06-24 |