NPI | 1295960524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 66589) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50938) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME125990) | |
Enumeration Date | 2009-05-15 |
Last Update Date | 2022-09-12 |