| NPI | 1942424163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2010005070) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MO 2010005070) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: KS 0436396) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-36396) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-09-30 |