NPI | 1083685770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 020594) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 020594) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2017-02-08 |