NPI | 1619028768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 52563-20) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 52563-20) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2021-01-07 |