| NPI | 1093784746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME163207) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OK 24624) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-08-04 |