| NPI | 1689018830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 68699) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT AS2383278 - 0842) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.145990) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2021-06-08 |