NPI | 1982642450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 31426) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 31426) |
2086S0129X Surgery, Vascular Surgery (Licence: AZ 31426) | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2017-04-28 |