| NPI | 1609023936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: WA MD60180332) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60180332) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-10-13 |