NPI | 1629424478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD483306) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 63349) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD483306) | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2024-02-08 |