NPI | 1124345574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 89449) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 50674) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-26 |
Last Update Date | 2023-04-13 |