NPI | 1801870357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 9701219) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 9701219) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2021-07-23 |