NPI | 1568435980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301069178) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301069178) |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301069178) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2020-10-06 |