NPI | 1215137237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60555202) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60555202) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2021-10-04 |