| NPI | 1124311535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME116683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME116683) |
| 208000000X Pediatrics (Licence: IN 01065255A) | |
| 208000000X Pediatrics (Licence: NY 266641) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME116683) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2021-08-31 |