| NPI | 1750673778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA11420500) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT199274) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT199274) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 308892) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199274) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2025-03-10 |