NPI | 1780810135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2017015469) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 05-39557) |
208600000X Surgery (Licence: KS 94-07138) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 0539557) | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2022-07-21 |