Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | P7335 | TX |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 18881 | ZZ |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35.099738 | OH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | P7335 | TX |
NPI | 1043462609 |
---|---|
Provider Name | Mr. Aldo Elmer Rafael Yarihuaman |
First Address | Dallas, TX 75284-4658 |
Second Address | Dallas, TX 75226-1307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2008 |
Last Update Date | 02/12/2021 |