| NPI | 1588958748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A95413) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A95413) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35124145) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A95413) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35124145) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A95413) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-04-04 |