NPI | 1346352812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00040041) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 102400) |
208600000X Surgery (Licence: WA MD00040041) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-06-24 |