NPI | 1124027164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX E8004) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: TX E8004) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2011-07-11 |