NPI | 1992961270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A99566) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A99566) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2014-11-20 |