| NPI | 1588924286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: PA MD474833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474833) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-10-04 |