NPI | 1619043890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 9875) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 9875) |
2086S0129X (Licence: AZ AZ 9875) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2025-08-28 |