| NPI | 1194345983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.147974) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.147974) |
| 208000000X Pediatrics (Licence: OH 35.147974) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-12-23 |