| NPI | 1306091335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD451110) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT 202456) |
| 208600000X Surgery (Licence: PA MD457110) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2014-07-17 |