NPI | 1487635215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA md.205267) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 00022637) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101055752) | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2015-07-14 |