| NPI | 1043482912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2011-01418) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-43679) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2016-08-11 |