NPI | 1437142569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 025227) |
Additional Taxonomies | 202K00000X (Licence: GA 25227) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2020-10-30 |