| NPI | 1750487740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NC 2012-01289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-01289) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2012-01289) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-07-15 |