| NPI | 1538642319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 272442) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 294772) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-06-30 |