| NPI | 1578756722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD452597) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD452597) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: PA MD452597) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2018-09-07 |