NPI | 1457458929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301056091) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301056091) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2020-10-22 |