| NPI | 1093705014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA07744200) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 159842) |
| 208600000X Surgery (Licence: NJ 25MA07744200) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 73344) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2023-04-13 |