| NPI | 1144461880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME173589) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036118615) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2025-04-17 |