NPI | 1881657542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA11337900) |
Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA11337900) |
174400000X Specialist (Licence: NY 182049) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2024-05-10 |