| NPI | 1366400129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-45927) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 056120) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IA MD-45927) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-07-08 |