| NPI | 1548224801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101246279) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 232213) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 232213) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY TL3674) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2016-10-04 |