| NPI | 1659303287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX N3028) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 56823) |
| 208600000X Surgery (Licence: TX N3028) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 41164) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N3028) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-02-15 |