NPI | 1144662651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 333578) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 000000) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME142130) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2023-03-14 |