NPI | 1518059989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301050142) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301050142) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2019-11-06 |