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 |