| NPI | 1992733224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 10460A) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0047892) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L2368) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: CO 47892) | |
| 2086S0120X Surgery Pediatric Surgery (Licence: CO 47892) | |
| 208600000X Surgery (Licence: CO DR.0047892) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-01-06 |