NPI | 1871769380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD207503) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OR MD207503) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2024-02-02 |