| NPI | 1306014675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 14984) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35090953) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35090953) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-07-19 |