| NPI | 1043411721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301104221) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MI 4301104221) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301104221) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-04-14 |