| NPI | 1831291160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301033989) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: MI 4301033989) |
| 2086S0120X Surgery Pediatric Surgery (Licence: MI 4301033989) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301033989) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |