| NPI | 1710980628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 32305) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD019864) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 32305) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-10-20 |