NPI | 1831343086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A122208) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A122208) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2019-11-12 |