| NPI | 1255324885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G87765) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G88765) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-02-01 |