| NPI | 1730346156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101245216) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 217604) |
| 208600000X Surgery (Licence: NY 217604) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-09-28 |