| NPI | 1659329076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-050271) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: OH 35-050271) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-02-14 |