| NPI | 1114480217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-15736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-15736) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-08-25 |