| NPI | 1366682577 |
|---|---|
| Former Name | JAVANSHIR JAVIDFAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 76252) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 251323) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2019-08-15 |