| NPI | 1245346709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 24653) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 269472) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 062084) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 062084) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MS 24653) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 062084) | |
| 208600000X Surgery (Licence: GA 062084) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-10-16 |