| NPI | 1316142573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 53641) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 53641) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 53641) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2019-08-15 |