NPI | 1932163581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 21961-20) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 21961) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2013-02-07 |