NPI | 1366705329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S2027) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A154259) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-24 |
Last Update Date | 2025-06-16 |