NPI | 1811215445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A134706) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62981) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2018-09-12 |