| NPI | 1316987373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G52387) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA G52387) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-06-11 |