| NPI | 1295715654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 146019) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 66653) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VT 042-0014571) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 10477) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-09-27 |