| NPI | 1073927786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D94647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 32413) |
| 208000000X Pediatrics (Licence: PR 32413) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-10-25 |