| NPI | 1982608238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G85430) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA G85430) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G85430) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G85430) | |
| 208600000X Surgery (Licence: CA G85430) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-02-28 |