NPI | 1104842129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G65464) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G65464) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2011-05-06 |