| NPI | 1932293222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.019166) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 019166) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-18 |