| NPI | 1275911265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301509521) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD466396) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT208168) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-10-18 |