| NPI | 1629207139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101259913) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101259913) |
| 208600000X Surgery (Licence: PA MT196162) | |
| 208600000X Surgery (Licence: NY 294845) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA R-10035) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 294845) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2022-04-22 |