NPI | 1770133969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 71296) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 281177) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2022-11-29 |