| NPI | 1497821292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 46464) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 46464) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-10-17 |