NPI | 1962593236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD424595) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 43650) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA07862900) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C10007305) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2017-12-04 |