| NPI | 1285602532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 15909) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 15909) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2014-08-05 |