| NPI | 1730349085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 240461) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 240461) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-08-01 |