| NPI | 1992804280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AZ 23838) |
| Additional Taxonomies | 207RA0002X Internal Medicine Adult Congenital Heart Disease (Licence: AZ 23838) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-08-02 |