NPI | 1982657730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 36473) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 36473) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2018-04-04 |