| NPI | 1295885002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 568657) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A66285) |
| 207Q00000X Family Medicine (Licence: CA A66285) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-06-05 |