NPI | 1932100906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 123918) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD044187E) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD044187E) | |
208600000X Surgery (Licence: FL ME 123918) | |
Enumeration Date | 2005-08-02 |
Last Update Date | 2015-04-24 |