| NPI | 1942238837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME21522) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME25122) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-11-13 |