| NPI | 1609089580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD453445) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D69375) |
| 208600000X Surgery (Licence: MD D0069375) | |
| 208600000X Surgery (Licence: PA MD453445) | |
| 208600000X Surgery (Licence: NY 235025) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-06-03 |