| NPI | 1427239938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M7350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7350) |
| 208000000X Pediatrics (Licence: TX M7350) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX M7350) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-03-29 |