| NPI | 1841224342 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 243177-1) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 243177-1) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 243177-1) | |
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2019-11-11 |