| NPI | 1275827420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 303556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452108) |
| 207R00000X Internal Medicine (Licence: PA MT199303) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NJ 25MA11668700) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 303556) | |
| 208000000X Pediatrics (Licence: PA MT199303) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-12-14 |