| NPI | 1669653184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 255950) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 1563394012) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 247213) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2016-01-15 |