NPI | 1477547479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD013609E) |
Additional Taxonomies | 174400000X Specialist |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD013609E) | |
Enumeration Date | 2005-09-06 |
Last Update Date | 2010-11-19 |