NPI | 1306107743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A134137) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A134137) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2022-09-12 |