| NPI | 1194766659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 240624-1) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 200400902) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME80507) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 240624) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-07-05 |