| NPI | 1174910830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TN 58648) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 58648) |
| 208000000X Pediatrics (Licence: TN 58648) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2026-06-02 |