NPI | 1821252370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 84758) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0087522) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01072812A) | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2021-01-17 |