NPI | 1588051494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60573981) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60573981) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT MED-PHYS-LIC-100589) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-02-19 |