| NPI | 1700240645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0065046) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0065046) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 96508) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-08-08 |