NPI | 1467497263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09779000) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD068160L) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD068160L) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2020-01-15 |