| NPI | 1467420711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 21190) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 21190) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OK 21190) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OK 21190) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2019-06-06 |