| NPI | 1679587893 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G72322) | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA G72322) | 
| Enumeration Date | 2006-07-27 | 
| Last Update Date | 2014-07-31 |