NPI | 1902991144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: UT 6973986-1205) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC T01952) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-11-18 |