| NPI | 1942453071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P2049) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.088058) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-12-11 |