| NPI | 1104090273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.097581) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 49071) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01076061A) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 26744) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-07-21 |