| NPI | 1265415491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C1-0009809) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C1-0009809) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2014-07-23 |