NPI | 1891052676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D92441) |
Additional Taxonomies | 208600000X Surgery (Licence: DC MTL000227) |
208600000X Surgery (Licence: IN 01080846A) | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2021-09-08 |