| NPI | 1144257254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME37704) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL FLME0037704) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-03-03 |