| NPI | 1134243371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-128854) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.128854) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301076017) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-12-14 |