| NPI | 1437473188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301500603) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 278505) |
| 208600000X Surgery (Licence: MI 4301500603) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 278505) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2019-08-07 |