NPI | 1578673489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G43151) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G43151) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-05-03 |