| NPI | 1477547479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: PA MD013609E) |
| Additional Taxonomies | 174400000X Specialist |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD013609E) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2010-11-19 |