| NPI | 1043383391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 188021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 188021) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2026-06-24 |