| NPI | 1134357437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A109986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GU M-1939) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GU M-1939) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-01-19 |