| NPI | 1346311404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 20943) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2003000089) |
| 208600000X Surgery (Licence: MS 20943) | |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2018-09-05 |