| NPI | 1568408623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 40822) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 195399) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 195399) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-05-14 |