NPI | 1407385057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 64066) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 64066) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2024-09-05 |