| NPI | 1669460630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C2981) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA C2981) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA C2981) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C2981) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-03-29 |