| NPI | 1134442049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA MD.205586) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX N5210) |
| 208000000X Pediatrics (Licence: TX N5210) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2012-11-21 |