| NPI | 1538471230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301096500) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MI 4301096500) |
| 208000000X Pediatrics (Licence: MI 4301096500) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-07-20 |