NPI | 1407989569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 040101) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CT 040101) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2024-01-08 |