| NPI | 1235107467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA10269800) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425075) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-01-31 |