NPI | 1598287138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 66108) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 66108) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2022-06-30 |