| NPI | 1134237761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G55475) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G55475) |
| 2086S0129X (Licence: CA G55475) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-12-04 |