| NPI | 1962469932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MA 230117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45900) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 45900) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 21378) | |
| 208000000X Pediatrics (Licence: MN 45900) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-04-09 |