| NPI | 1174784748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: VA 0101274897) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 065174) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-14819) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 065174) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101274897) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2025-08-06 |