NPI | 1003873670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL MD.15275) |
Additional Taxonomies | 174400000X Specialist (Licence: AL 15275) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2017-01-28 |