| NPI | 1629082383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD 24943) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 60 241117) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 60 241117) | |
| 208600000X Surgery (Licence: NY 60 241117) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-09-11 |