| NPI | 1982644779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 189014-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 189014-1) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-12-06 |