| NPI | 1417948761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 164704) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 164704) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 164704) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 164704) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 164704) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-10-15 |