NPI | 1366682577 |
---|---|
Former Name | JAVANSHIR JAVIDFAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 76252) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 251323) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2019-08-15 |