NPI | 1487845509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101255513) |
Additional Taxonomies | 208600000X Surgery (Licence: MA L-214641) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2021-08-24 |