NPI | 1932168580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 22424) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 22424) |
2086S0129X Surgery, Vascular Surgery (Licence: SC 22424) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2019-03-29 |