NPI | 1023201563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 277338) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 277338) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 15063) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-08-18 |
Last Update Date | 2022-03-14 |