| NPI | 1447426176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME177099) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 57.011900) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R2424) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 44925) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2025-10-23 |