NPI | 1598975898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P6157) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME176015) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2025-09-19 |