| NPI | 1407273667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NE 32559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 32559) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 32559) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2025-11-24 |