| NPI | 1184088924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-12438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-12438) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T5885) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-09-13 |