NPI | 1992779128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 32973) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 37044) |
2086S0120X Surgery, Pediatric Surgery (Licence: SC 32973) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2010-07-19 |