NPI | 1356342281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 055825) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GA 055825) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2022-02-08 |