| NPI | 1013984517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ID M10479) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2011037702) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-02-27 |