| NPI | 1073806618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-11155) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T6687) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-04-21 |