| NPI | 1669471074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 42022) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 13782R) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-06-16 |