| NPI | 1881617645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD064702L) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA06864200) |
| 204F00000X Transplant Surgery (Licence: NJ 25MA06864200) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2015010868) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-09-20 |