NPI | 1295199255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61303431) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD61303431) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-08-07 |