| NPI | 1801840509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 201767) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 180726) |
| 208600000X Surgery (Licence: NY 201767) | |
| 208600000X Surgery (Licence: IA 34661) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 36641) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 180726) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-08-18 |