| NPI | 1396791000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 261372) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 002576) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 63792) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-09-27 |