NPI | 1689873010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301074889) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301074889) |
208600000X Surgery (Licence: TX M7238) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60030929) | |
208600000X Surgery (Licence: IL 036.124511) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2021-10-27 |