| NPI | 1720640337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA SPI790) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC LL82973) |
| 208600000X Surgery (Licence: CA SPI790) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 307463) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-10-16 |