| 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 |