| NPI | 1801182662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD454429) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD454429) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 308671) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: PA MD454429) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 308671) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2023-11-27 |