NPI | 1174559231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME135932) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 224040-1) |
2086S0129X Surgery, Vascular Surgery (Licence: NY 224040) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 224040) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2022-01-31 |