| NPI | 1518043744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 17914) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NE 17914) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-03-24 |