NPI | 1902010788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 67681) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 27804) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2023-03-29 |