| NPI | 1568993038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 81429) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.159929) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 81429) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-10-17 |