NPI | 1376717330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NC 117189) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A 111911) |
Enumeration Date | 2008-04-21 |
Last Update Date | 2010-05-03 |