NPI | 1659892651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME147129) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 009719) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD473286) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2022-02-04 |