NPI | 1881911915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 32614) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL32614) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2021-05-11 |