| 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 | 2018-08-21 |