| NPI | 1407816945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D52528) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D52528) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D52528) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2014-09-02 |