| NPI | 1376516229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 39328) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 35495) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2018-01-30 |