NPI | 1770713943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME124155) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0034820) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 075870) | |
Enumeration Date | 2009-07-21 |
Last Update Date | 2022-05-02 |