NPI | 1801310065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 71733) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 71733) |
208600000X Surgery (Licence: MA 272694) | |
Enumeration Date | 2017-07-31 |
Last Update Date | 2022-12-05 |