| NPI | 1821314386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: AZ 58451) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 58451) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2021-06-10 |