NPI | 1972768067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-120272) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD434495) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 047704) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2012-11-07 |