| NPI | 1235177767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 16376) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 16376) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 16376) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-03-01 |