NPI | 1437446713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD442285) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD442285) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2011-07-07 |