| NPI | 1376716274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA07969200) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25Ma07969200) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2012-07-25 |