NPI | 1396005211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: RI MD18439) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 290316) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2015041384) | |
Enumeration Date | 2012-05-24 |
Last Update Date | 2024-08-15 |