| NPI | 1669581732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A42591) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A042591) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA A42591) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-01-25 |