NPI | 1245296664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY TP025) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.149494) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-44558) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2024-02-19 |