NPI | 1689253932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301509737) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301509737) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2023-11-10 |