| NPI | 1255306783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD206806) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD417309) |
| 208600000X Surgery (Licence: PA MD417309) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2015-03-02 |