| NPI | 1700991239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 042879) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 042879) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-03-25 |