| NPI | 1700094307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.087717) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.087717) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01072677A) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-11-20 |