| NPI | 1285757781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 1008) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MI 4301086622) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD448855) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301086622) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-07-21 |