| NPI | 1023216660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 233641) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD424503) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA78662) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-03-08 |