NPI | 1841217585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 83753) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA DO-04423) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 307379) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-11-10 |