| NPI | 1891832150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 257290) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 41481) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 6981309-1205) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-11-03 |