NPI | 1649396235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A103868) |
Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A103868) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A103868) | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A103868) | |
208000000X Pediatrics (Licence: CA A103868) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2024-04-11 |