| 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: NJ 25MA11869400) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 240426) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2024-12-03 |