| NPI | 1821216664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101271400) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD 60156953) |
| 208600000X Surgery (Licence: MI 4301103227) | |
| 208600000X Surgery (Licence: VA 0101271400) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301103227) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116023360) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-07-30 |