| NPI | 1285639435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME144101) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 21359) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 045697) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-092751) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME144101) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2025-06-19 |