NPI | 1457627226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 333231) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 333231) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-27 |
Last Update Date | 2022-11-21 |