| NPI | 1386668929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 41584) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2012001026) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2012001026) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-01-13 |