NPI | 1174506869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 057474) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 057474) |
2086S0129X Surgery Vascular Surgery (Licence: GA 057474) | |
Enumeration Date | 2005-11-28 |
Last Update Date | 2020-12-03 |