NPI | 1457503237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09380600) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD432668) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD432668) | |
Enumeration Date | 2008-10-13 |
Last Update Date | 2013-10-31 |