| NPI | 1164494159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101036383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-036383) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101-036383) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-06-24 |