| NPI | 1831165570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D53551) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MD D53551) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-04-24 |