| NPI | 1427163120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 119661) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 119661) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-12-17 |