| NPI | 1043870710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME MD30479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD30479) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2026-05-06 |