NPI | 1285683029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 126770044-1205) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA MD00026659) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S9004) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00026659) | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2022-12-13 |