| NPI | 1285653766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MA 46255) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 46255) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 46255) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 46255) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |