NPI | 1407122344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA OS021217) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT014597) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2021-09-13 |