NPI | 1447426176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R2424) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 44925) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 57.011900) | |
Enumeration Date | 2008-05-02 |
Last Update Date | 2021-01-12 |