| NPI | 1396856159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 255773-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 255773-1) |
| 208600000X Surgery (Licence: MA 152285) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 152285) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 255773-1) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-06 |