NPI | 1407913940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD423136) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD423136) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-10-22 |