NPI | 1235336538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 068291) |
Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 68291) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2021-01-25 |