NPI | 1457641789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-47534) |
Additional Taxonomies | 208600000X Surgery (Licence: IA MD-47534) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2022-07-12 |