NPI | 1184782120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M9673) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX M9673) |
204F00000X Transplant Surgery (Licence: TX M9673) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2014-12-04 |