| NPI | 1306000567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 42277) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX 42277) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2012-11-12 |