| NPI | 1033157714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 034350) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 34350) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-11-08 |