| NPI | 1184703654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301072906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072906) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 4961827-1205) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.091996) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-06-20 |