| NPI | 1801144332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 308376) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09974600) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.147036) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 99531) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-04-19 |