| NPI | 1891727913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D78550) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD418012) |
| 208600000X Surgery (Licence: UT 8054539-1205) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 8054539-1205) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-12-30 |