| NPI | 1588051452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD464246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464246) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2022-05-18 |