NPI | 1134495336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 93957) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A173526) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2023-01-27 |