NPI | 1821087453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 5101007542) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MI 5101007542) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2008-08-20 |