| NPI | 1427354810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 88653) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT218334) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D77372) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2021-05-24 |