| NPI | 1386708683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A75775) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A75775) |
| 208600000X Surgery (Licence: CA A75775) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2013-10-25 |