| NPI | 1295721447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MB10453400) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS012844) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-12-19 |