NPI | 1396940995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 244477) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 244477) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2021-02-15 |