NPI | 1891799813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR 10637) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OK 10637) |
204F00000X Transplant Surgery (Licence: OK 10637) | |
208600000X Surgery (Licence: OK 10637) | |
Enumeration Date | 2005-06-08 |
Last Update Date | 2009-06-12 |