| NPI | 1811000565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA g83772) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0065408) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0065408) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0065408) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |