| NPI | 1265532634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 027964) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 100376) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G34092) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 5088) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |