| NPI | 1073607578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: DC MD035525) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MD D1010857) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-10-08 |