| NPI | 1760461180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD039559E) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 000722778) |
| 2086S0129X Surgery Vascular Surgery (Licence: NC 000722778) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 000722778) | |
| 225100000X Physical Therapist | |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| 2086S0129X Surgery Vascular Surgery (Licence: PA MD039559E) | |
| 208600000X Surgery (Licence: PA MD039559E) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2015-11-18 |