| NPI | 1255524427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A94329) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD441265) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 002845) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A94329) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2020-06-16 |