| NPI | 1750384178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA02053600) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA02053600) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA02053600) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-11-14 |