| NPI | 1144308164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R0576) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 220508) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101252034) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-03-09 |