NPI | 1225093107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD021665E) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD021665E) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD021665E) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2014-06-20 |