| NPI | 1164407714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 243796) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA08573300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2022-11-17 |