| NPI | 1528020146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME59502) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: FL ME59502) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME59502) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-01-20 |