| NPI | 1154394385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D0080618) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G199196) |
| 208000000X Pediatrics (Licence: CA G199196) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME72338) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2026-08-28 |