| NPI | 1194702159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C55501) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 22135) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 22135) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-07-05 |