| NPI | 1609855857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 92706) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME127618) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 92706) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: FL ME127618) | |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2023-08-12 |