| NPI | 1679867832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD211783) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 272614) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 275190) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-02-10 |