| NPI | 1659387280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 35582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 35582) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 35582) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-12-18 |