NPI | 1952373003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301512059) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD481708) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME159625) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.126277) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2024-08-23 |