NPI | 1235397142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C150297) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0071135) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME107812) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2018-03-17 |