NPI | 1972718633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N3318) |
Additional Taxonomies | 208600000X Surgery (Licence: TX N3318) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-08-05 |