| NPI | 1659394328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A47809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A47809) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A47809) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A47809) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-01-11 |