| NPI | 1184034134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 30561) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MN 69060) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 54080) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-01-02 |