NPI | 1013166883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35131831) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35131831) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2020-10-27 |