| NPI | 1679723175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A117478) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT192099) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192099) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2023-02-01 |