NPI | 1649205576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G62746) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G62746) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-11-18 |