| NPI | 1881712032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301093853) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2004014128) |
| 208600000X Surgery (Licence: MI 4301093853) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-03-22 |