| NPI | 1316994304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301503163) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 203719) |
| 208600000X Surgery (Licence: NM MD2020-0127) | |
| 208600000X Surgery (Licence: NY 203719) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-04-13 |