| NPI | 1326289786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09214100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 234808) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2023-11-10 |