| NPI | 1033301080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 49423) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MD.201742) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A115149) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-07-21 |