NPI | 1548281926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME133023) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.121627) |
2086S0129X Surgery, Vascular Surgery (Licence: VA 0101251201) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA09455300) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.121627) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2021-01-12 |