| NPI | 1184986838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 69403) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 12955A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME136716) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME136716) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0063177) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2026-04-23 |