| NPI | 1619904232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 232478) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 232478) |
| 208600000X Surgery (Licence: NY 232478) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-11-05 |