| NPI | 1154415511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.11257R) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD19036) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-12-02 |