| NPI | 1831423854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47880) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301109003) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301109003) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47568) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 242154) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2023-01-30 |