| NPI | 1528263829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA11020500) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD439894) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA11020500) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD439894) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-05-06 |