| NPI | 1659329209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A92674) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NE 23507) |
| 208600000X Surgery (Licence: CA A92674) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-07-28 |