NPI | 1902975543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 301034) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101232814) |
2086S0120X Surgery, Pediatric Surgery (Licence: NC 2009-01985) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2009-01985) | |
2086S0129X Surgery, Vascular Surgery (Licence: LA 301034) | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2016-07-01 |