| NPI | 1063623098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 298396) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C154270) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 298396) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-09-21 |