NPI | 1922391143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 68384) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 252766) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 275210) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-20 |
Last Update Date | 2020-12-28 |