| NPI | 1083024947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA10853900) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 290922) |
| 208000000X Pediatrics (Licence: PA MD481815) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD481815) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-10-02 |