| NPI | 1295827921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 41321) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 41321) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-06-25 |