| NPI | 1326148800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 321958) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 35706) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AZ 35706) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2023-09-18 |