| NPI | 1487861712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 55451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35. 091561) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CT 55451) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 55451) | |
| 208000000X Pediatrics (Licence: OH 35. 091561) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-02-02 |