| NPI | 1174559231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101239249) |
| Additional Taxonomies | 2086S0129X (Licence: NY 224040) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME135932) | |
| 174400000X Specialist (Licence: NY 224040-1) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 224040) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2026-04-02 |