| NPI | 1144304635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50650) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A113311) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A113311) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY TP136) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A113311) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 1144304635) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 245722) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-06-06 |