| NPI | 1609984863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 168339-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 1683391205) |
| 2086S0129X Surgery, Vascular Surgery (Licence: UT 1683391205) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-05-03 |