NPI | 1437180676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G54367) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 031902) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2016-07-12 |