| NPI | 1801945936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.201636) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA MD.201636) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-09-13 |