| NPI | 1154457547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 16950) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-221064) |
| 208600000X Surgery (Licence: NH 16950) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-02-13 |