| NPI | 1891115416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 35668) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NE 35668) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SD 14656) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-01-03 |