NPI | 1477714699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A1091982) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT207217) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX Q5711) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2022-10-06 |