| NPI | 1093100976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-16679) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-16679) |
| 208000000X Pediatrics (Licence: VT 042.0014072) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD61304160) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-09-18 |