NPI | 1477538601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD442522) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD442522) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2014-05-07 |