| NPI | 1083011613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-47329) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036138029) |
| 208000000X Pediatrics (Licence: IA MD-47329) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301114822) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2020-08-27 |