NPI | 1629206818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60869144) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD188777) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094167) | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2024-08-01 |