NPI | 1427010800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101263076) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AR E1791) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2022-09-30 |