| NPI | 1275536765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA04831400) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MAO4831400) |
| 208600000X Surgery (Licence: NJ 25MA04831400) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-04-26 |