| NPI | 1720046659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: OH 35.138038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226368) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 226368) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-01-08 |