| NPI | 1447243951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 021061) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: CT 021061) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CT 021061) | |
| 208600000X Surgery (Licence: CT 021061) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-03-21 |