| NPI | 1548281926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME133023) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.121627) |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101251201) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09455300) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.121627) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-01-12 |