| NPI | 1144695370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301515028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301515028) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2025-12-15 |