| NPI | 1104981430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC MD041719) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: DC MD041719) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD041719) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-10-26 |