NPI | 1649283516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 071271) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 071271) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2023-03-07 |