NPI | 1356636245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U3404) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA DO-05381) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 34.015374) | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2023-07-07 |