NPI | 1518351626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX V9695) |
Additional Taxonomies | 208600000X Surgery (Licence: MS T-2999) |
2086S0102X Surgery, Surgical Critical Care (Licence: TX V9695) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2025-08-01 |