| NPI | 1326110081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09252000) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 219576) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL MD28398) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: PA MD442847) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-03-14 |