| NPI | 1316943376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P0191) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MS 28044) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME134234) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2022-09-26 |