| NPI | 1124464599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-51488) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: IA MD-51488) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA MD-51488) | |
| 208000000X Pediatrics (Licence: IA MD-51488) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-07-13 |