NPI | 1003811928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX G9082) |
Additional Taxonomies | 208600000X Surgery (Licence: TX G9082) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2008-08-12 |