| NPI | 1912227927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 0066720) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301096225) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.133603) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096225) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-02-07 |