| NPI | 1407099138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TX 334411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00457) |
| 207R00000X Internal Medicine (Licence: TX 334411) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD.MD.60545639) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-10-02 |