NPI | 1275590523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301065895) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301065895) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2023-10-03 |