| NPI | 1598773582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G36693) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA G36693) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-08-11 |