| NPI | 1649283516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0101444) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: GA 071271) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 071271) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-08-28 |