| NPI | 1134193428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D41813) |
| Additional Taxonomies | 2086S0129X (Licence: MD D41813) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-11-25 |