NPI | 1619268430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2018-01039) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2018-01039) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2021-06-14 |