NPI | 1811979297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: PA MD061796L) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD061796L) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD061796L) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2025-02-04 |