| NPI | 1407833320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.063600) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35063600) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35063600) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-09-10 |