| NPI | 1093895286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NV 12420) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 20947) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-03-08 |