NPI | 1205270220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R8171) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R8171) |
Enumeration Date | 2013-04-21 |
Last Update Date | 2020-08-24 |