| NPI | 1801933171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME103088) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.131527) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1905) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-22 |