| NPI | 1063511186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX F5176) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX F5176) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-05-21 |