NPI | 1689666299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD061781L) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD061781L) |
174400000X Specialist (Licence: PA MD061781L) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2020-10-09 |