NPI | 1982094603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: MA 277273) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 277273) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2025-07-08 |