| NPI | 1508013608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 299706) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 065046) |
| 208600000X Surgery (Licence: OH 35.122321) | |
| 208600000X Surgery (Licence: MA 236943) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MA 236943) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 299706) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.122321) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 065046) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 236943) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2019-12-05 |