| NPI | 1427588284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 70196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112995) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 70196) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-02-12 |