| 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 |