| NPI | 1548299621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO R6J92) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO R6J92) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-04-17 |