| NPI | 1881880748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L1989) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A72864) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A72864) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L1989) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2012-08-30 |