NPI | 1093802530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX D9598) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX D9598) |
208600000X Surgery (Licence: TX D9598) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2016-12-09 |