NPI | 1538196118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D98853) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 219319) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD459749) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2023-11-30 |