NPI | 1558416115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID MC-1821) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 54702) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 62764) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 105635) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-10-28 |