| NPI | 1548469760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 261535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233236) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 261535) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-02-05 |