| NPI | 1407809312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME180469) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 227760) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 227760) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-06-03 |