| NPI | 1669625059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD483567) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD483567) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD483567) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2024-05-21 |