| NPI | 1407020761 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.098408) | 
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.098408) | 
| Enumeration Date | 2008-04-17 | 
| Last Update Date | 2020-08-14 |