| NPI | 1982659447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 128963) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NY 128963) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-09-20 |