NPI | 1255832267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35143684) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.143684) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 29133) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX pb10062013) | |
Enumeration Date | 2018-02-25 |
Last Update Date | 2024-11-19 |