| NPI | 1093212789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A174222) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A174222) |
| 208000000X Pediatrics (Licence: WA MD61535896) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD61535896) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-07-14 |