| NPI | 1336414309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A120134) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A120134) |
| 208000000X Pediatrics (Licence: CA A120134) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 63794) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2021-09-03 |