| NPI | 1922075506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03994000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA03994000) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA03994000) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-04-22 |