NPI | 1093933467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 40706) |
Additional Taxonomies | 208600000X Surgery (Licence: SC DO40706) |
208600000X Surgery (Licence: PA OT012020) | |
208600000X Surgery (Licence: MA 248571) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2022-07-21 |