| NPI | 1770685604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 40878) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20007978) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-07-31 |