| NPI | 1184782120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M9673) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX M9673) |
| 204F00000X Transplant Surgery (Licence: TX M9673) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-12-04 |