| NPI | 1043452378 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME156552) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME156552) | 
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME156552) | |
| Enumeration Date | 2009-04-01 | 
| Last Update Date | 2023-04-06 |