NPI | 1780809889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD428194) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD428194) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2021-06-24 |