NPI | 1144285297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 18708) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: KY 18708) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2019-06-28 |