| NPI | 1750673901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N9481) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX N9481) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N9481) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-05-05 |