| NPI | 1780837203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TN MD52934) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD52934) |
| 208000000X Pediatrics (Licence: TN MD52934) | |
| 207R00000X Internal Medicine (Licence: TN MD52934) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD52934) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-03-29 |