| NPI | 1144249632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 204858) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 204858) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MA 204858) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 204858) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-06-08 |