| NPI | 1336253293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD016695E) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD016695E) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD016695E) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-06-09 |