| NPI | 1215967500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 23449) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 102316) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX n8723) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N8723) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-05-12 |