NPI | 1174519466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01069765A) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 79395) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 87486) | |
Enumeration Date | 2005-09-22 |
Last Update Date | 2018-08-10 |