| NPI | 1164473567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 26946) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 26946) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 26946) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-09-08 |