NPI | 1932161619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME158299) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036112311) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00030287) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2013042335) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2022-11-17 |