| 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 |