| NPI | 1851770630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL MFC1821) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 279967) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NY 279967) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 279967) | |
| 2086S0120X Surgery Pediatric Surgery (Licence: FL MFC1821) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 279967) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-01-17 |