NPI | 1285785709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 46919) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 10711) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD17253) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2015-06-08 |