NPI | 1851369417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX Q3312) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01029011A) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-051891) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-03-04 |