| NPI | 1194160804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A134638) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01076880a) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-02-08 |