NPI | 1316972631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301046199) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 29909) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 622) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036153856) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2025-02-10 |