NPI | 1861467037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.059614) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 3571) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01091850A) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2024-02-02 |