| NPI | 1770529729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD427084) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA08845900) |
| 208600000X Surgery (Licence: PA MD427084) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-12-10 |