| NPI | 1386693323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 273493-1) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35087995) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-087995) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 273493-1) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-05-08 |