| NPI | 1528156304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX D4123) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX D4123) |
| 208600000X Surgery (Licence: TX D4123) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-11-09 |