| NPI | 1457591505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.122909) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.122909) |
| 208000000X Pediatrics (Licence: OH 35.122909) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME134704) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2021-11-08 |