NPI | 1588786784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 32425) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301085374) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2016-03-03 |