| NPI | 1588164966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 303781) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 274073) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2021-03-23 |