| NPI | 1912983933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD042170E) |
| Additional Taxonomies | 2086S0129X (Licence: PA MD042170E) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2016-10-06 |