| NPI | 1932543949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61452148) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 293338) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME148920) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 293338) | |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2023-08-21 |