| NPI | 1316033327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G26258) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G26258) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G26258) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-08-31 |