| NPI | 1255421434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101241673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241673) |
| 207R00000X Internal Medicine (Licence: SC 23152) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: VA 0101241673) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC 23152) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-04-13 |