| NPI | 1891799813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR 10637) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: OK 10637) |
| 204F00000X Transplant Surgery (Licence: OK 10637) | |
| 208600000X Surgery (Licence: OK 10637) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2009-06-12 |