| NPI | 1598916405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID MC-0620) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08844000) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR0056667) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-45014) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-02-28 |