| NPI | 1669480083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A85016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85016) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A85016) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-07-13 |