| NPI | 1316997158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-24068) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-24068) |
| 208600000X Surgery (Licence: KS 04-24068) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KS 04-24068) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-09-05 |