| NPI | 1821074881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 47686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47686) |
| 207R00000X Internal Medicine (Licence: GA 60388) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 60388) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 60388) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-09-18 |