| NPI | 1306923123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A92930) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A92930) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD436742) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-01-08 |