NPI | 1518043744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 17914) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NE 17914) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2009-03-24 |