| NPI | 1184917353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A122156) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122156) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-01-29 |