NPI | 1770723520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NY 240426) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C128644) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 240426) | |
Enumeration Date | 2009-03-05 |
Last Update Date | 2022-06-08 |