| NPI | 1639219611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 3346) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 3346) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-05-11 |