| NPI | 1558700450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-48976) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD p29237) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-11-16 |