| NPI | 1396944823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T0281) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036125228) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TX T0281) | |
| 208000000X Pediatrics (Licence: PA MT190224) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA MD.206979) | |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2021-09-09 |