NPI | 1578678595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX W0185) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 22034) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2025-09-03 |