| NPI | 1144407958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.121519) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-8725) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 51153) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01079713a) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2018-06-08 |