| NPI | 1952353799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 47950-20) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: WI 47950) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 47950-20) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-05-19 |