| NPI | 1760468359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA03153800) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ MA03153800) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-10-29 |