| NPI | 1477726115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25IA13068800) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 5312) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD449686) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2026-06-30 |