| NPI | 1518913367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 06267R) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 06267R) |
| 208600000X Surgery (Licence: LA MD06267R) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-07-29 |