NPI | 1053574129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 36671) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT192011) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2020-10-01 |