| NPI | 1053311779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301084773) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MI 4301084773) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301084773) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2021-04-14 |