NPI | 1134111743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0056355) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D0056355) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2010-02-24 |