| NPI | 1902886575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD044544E) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD044544E) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-09-08 |