NPI | 1003902081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A32269) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A32269) |
2086S0129X Surgery, Vascular Surgery (Licence: CA A32269) | |
208C00000X Colon & Rectal Surgery (Licence: CA A32269) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A32269) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-02-27 |