| NPI | 1861825499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: IN 01101120A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01101120A) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01101120A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: IN 01101120A) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2026-10-06 |