NPI | 1962666396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101264164) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 52133) |
208600000X Surgery (Licence: VA 0101264164) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 52133) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2024-04-15 |