| NPI | 1164795381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AR E-15129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1094) |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2024-01-23 |