| NPI | 1982636072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35045157W) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 21244) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35045157W) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 21244) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-09 |