| NPI | 1316962640 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01044901) | 
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: IN 01044901A) | 
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2025-09-30 |