| NPI | 1730162041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 28565) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 223522) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 223522) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2016-12-07 |