| NPI | 1285603597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 236831) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 236831) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 66680) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-12-18 |