| NPI | 1144491879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q9585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10023597) |
| 208000000X Pediatrics (Licence: SC 31139) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2016-11-04 |