| NPI | 1427285931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 31301) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 157503) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2019-01-09 |