NPI | 1467426718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 27008) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD444207) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME85670) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2022-04-08 |