| NPI | 1730285370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 282319) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A81230) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |