| NPI | 1942336078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 48373) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TX 43179) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 48373) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 48022) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 48022) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 47690) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 47382) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 43179) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 50940) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2024-06-25 |