| NPI | 1629064225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0051687) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2005026717) |
| 207P00000X Emergency Medicine (Licence: NM MD2014-0814) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-12-03 |