| NPI | 1902996580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-58806) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 42652) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CO DR.0042652) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-03-22 |