| NPI | 1598866840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 57605) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 215071) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 215071) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-03-23 |