| NPI | 1336325471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2011-00135) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2011-00135) |
| 207R00000X Internal Medicine (Licence: NC 2011-00135) | |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2023-12-19 |