| NPI | 1053492959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD433389) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 223872) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 223872) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-06-20 |