NPI | 1154579605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 52084) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2008023487) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 54552) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY TP975) | |
Enumeration Date | 2008-09-08 |
Last Update Date | 2019-03-08 |