| NPI | 1649208521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AZ 57045) |
| Additional Taxonomies | 207RA0002X Internal Medicine Adult Congenital Heart Disease (Licence: AZ 57045) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX L4378) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX L4378) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-01-02 |