| NPI | 1790789345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 20620) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 20620) |
| 2086S0129X Surgery Vascular Surgery (Licence: OK 20620) | |
| 204F00000X Transplant Surgery (Licence: OK 20620) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2017-01-11 |